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“Why me?” I wondered when I received this book to review. I have neither special interest nor special expertise in psychiatric nosology—I’m still stuck on DSM-III and earlier on neurosis versus psychosis versus character disorders and am still mourning the loss of diagnosing by defense mechanisms and other ephemera. And, worse yet, this is an edited work that publishes the proceedings from a research planning conference for DSM-5 titled “Obsessive-Compulsive Spectrum Behavior Disorders: Refining the Research Agenda for DSM-V,” and almost all of its chapters were already published in 2 journal issues (the May 2007 issue of CNS Spectrums in 2007 and the November 2009 issue of Psychiatry Research).